Individual
THEODORE YURKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6200
(978) 250-6665
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
150369
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014813
NHP
MA
01
—
150369
TUFTS
MA
05
—
3193578
—
MA
01
—
7912236-002
CIGNA
MA
01
—
G411
HPHC
MA
01
—
J16548
BCBS
MA
Enumeration date
01/09/2007
Last updated
06/20/2011
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